title: High ligation and stripping of the long saphenous vein using the tumescent technique for local anesthesia.
abstract: BACKGROUND
  Advantages of tumescent local anesthesia (TLA) have been described for use in ambulatory phlebectomy removing large varicose side branches.
  
  
  OBJECTIVE
  To evaluate the TLA method for high ligation and stripping of the long saphenous vein with or without administration of intravenous sedatives.
  
  
  METHODS
  Forty-nine patients underwent 58 phlebosurgical procedures, including 41 ligations and strippings of the long saphenous vein. They were kept in the hospital for 24 hours after surgery to record potential complications and demand for medical assistance.
  
  
  RESULTS
  The surgical procedures were easily performed under TLA without major complications. Minor complications were mild hematoma (n = 2) and temporary inguinal seroma (n = 1). Forty-one percent of the patients required additional i.v. sedation and analgesia perioperatively. Postsurgical guidance by a physician was necessary only in patients on full-dose heparin.
  
  
  CONCLUSIONS
  The tumescent technique for local anesthesia allows high ligation and stripping of the long saphenous vein even in both legs in one session, however, frequently with additional i.v. medication.
authors.affiliation: Department of Dermatology, University of Ulm, Germany.
authors.forename: T M
authors.initials: TM
authors.lastname: Proebstle
authors.forename: U
authors.initials: U
authors.lastname: Paepcke
authors.forename: G
authors.initials: G
authors.lastname: Weisel
authors.forename: S
authors.initials: S
authors.lastname: Gass
authors.forename: L
authors.initials: L
authors.lastname: Weber
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local / Q000379:methods*; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000601:surgery*; D014648:Varicose Veins / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods